경동맥스텐트삽입술 시술 전 평가와 시술 전후 관리
Pre-Procedural Evaluation and Peri-Procedural Management in Carotid Artery Stenting
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초록
Carotid-artery stenting (CAS) is as an alternative to surgical endarterectomy for severe carotid-artery stenosis. CAS isadvantageous over carotid endarterectomy in that it is less invasive and could shorten the hospital stay. A preproceduralevaluation is necessary to assess the patient’s anatomic status or clinical risk factors to determine whether they are a goodcandidate for CAS. Proper evaluation and management can reduce CAS-associated complications such as embolism andcerebral hyperperfusion syndrome. The frequent use of statins appears to improve the outcome of CAS. Using theappropriate stent type and a protection device could also reduce the complication rate. Given the changes in cerebralhemodynamics following CAS, adequately controlling the blood pressure in individual patients can enhance the efficacyof this treatment. However, there is currently limited data regarding the preprocedural evaluation and periproceduralmanagement for CAS. The evidence and the clinical status related to the preprocedural evaluation and periproceduralmanagement of CAS are presented herein.
Abstract
Carotid-artery stenting (CAS) is as an alternative to surgical endarterectomy for severe carotid-artery stenosis. CAS isadvantageous over carotid endarterectomy in that it is less invasive and could shorten the hospital stay. A preproceduralevaluation is necessary to assess the patient’s anatomic status or clinical risk factors to determine whether they are a goodcandidate for CAS. Proper evaluation and management can reduce CAS-associated complications such as embolism andcerebral hyperperfusion syndrome. The frequent use of statins appears to improve the outcome of CAS. Using theappropriate stent type and a protection device could also reduce the complication rate. Given the changes in cerebralhemodynamics following CAS, adequately controlling the blood pressure in individual patients can enhance the efficacyof this treatment. However, there is currently limited data regarding the preprocedural evaluation and periproceduralmanagement for CAS. The evidence and the clinical status related to the preprocedural evaluation and periproceduralmanagement of CAS are presented herein.
참고문헌 (100)
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